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January 1, 2014Medical Archives

Short-term Parameters of Heart Rate Variability During Balanced Anaesthesia with Administration of Two Different Inhalation Anaesthetics

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Key result

Balanced anaesthesia with sevoflurane compared to isoflurane resulted in similar variations of haemodynamic variables and heart rate variability parameters, with no statistically significant differences between the groups.

Why the study?

Does sevoflurane compared to isoflurane alter heart rate variability in patients undergoing elective abdominal surgery?

Population

64 patients of ASA I and ASA II status scheduled for elective abdominal surgical procedures

Comparison

Balanced anaesthesia with sevoflurane (n=32) vs Balanced anaesthesia with isoflurane (n=32)

Design

RCT, randomly allocated

Follow-up

perioperative period

Authors

MOMeldijana Omerbegovi

Discussion

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Overview

Supports interchangeable use of either agent by availability or preference; confirms comparable autonomic effects during balanced anaesthesia for abdominal surgery.

Study Design

Type

RCT (n=64)

Randomization

Randomly allocated

Multicenter

No

Structured PICO

Does sevoflurane compared to isoflurane alter heart rate variability in patients undergoing elective abdominal surgery?

P
Population
64 ASA I and II patients (mean age 46.7 years, 42.2% female) scheduled for elective abdominal surgery, monitored during the perioperative period.
I
Intervention
Balanced anaesthesia with sevoflurane (n=32)
C
Comparator
Balanced anaesthesia with isoflurane (n=32)
O
Outcome
Heart rate variability parameters (total spectrum power, LF, HF, SD1, SD2) and haemodynamic parameters during the perioperative periodsurrogate

Main Result

p-value: p=>0.05

Sevoflurane and isoflurane have comparable effects on heart rate variability and haemodynamic parameters during balanced anaesthesia for abdominal surgery.

Cite This Study

Meldijana Omerbegovi (2014) conducted an RCT in ASA I and ASA II status scheduled for elective abdominal surgical procedures (n=64). Sevoflurane vs. Isoflurane was evaluated on Heart rate variability parameters (TP, LF, HF, SD1, SD2) and haemodynamic variables (p=>0.05). Balanced anaesthesia with sevoflurane compared to isoflurane resulted in similar variations of haemodynamic variables and heart rate variability parameters, with no statistically significant differences between the groups.

synapsesocial.com/papers/6a933472bf4300247406a268https://doi.org/10.5455/medarh.2014.68.268-271
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Effects of awareness and nociception on heart rate variability during general anaesthesia2012 · 27 citations
  2. 2Spectral analysis of heart rate variability during desflurane and isoflurane anaesthesia in patients undergoing arthroscopy1998 · 28 citations
  3. 3Neuroendocrine Stress Response and Heart Rate Variability: A Comparison of Total Intravenous Versus Balanced Anesthesia2005 · 162 citations
  4. 4Dynamics of neuronal assemblies are modulated by anaesthetics but not analgesics2007 · 38 citations
  5. 5Changes in heart rate variability in elderly patients undergoing major noncardiac surgery under spinal or general anesthesia1999 · 23 citations